Bilingual Public Benefit Specialist

Overview Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $18.65 - $20.50 per hour, based on experience This position is located On-Site at Tower - Reading Hospital in West Reading, PA Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows-up on submitted applications to insure timely billing or adjustment processing. Essential Job Functions Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions Effectively communicating with the patient to obtain documents that must accompany the application Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting Documenting all relevant actions and communication steps in assigned patient accounting systems Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates Other job duties as assigned. Employment Qualifications Minimum years and type of experience: 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues. Bilingual speaking proficiency in Spanish/English Other knowledge, skills, and abilities preferred: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification. Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes. Patient Access experience with managed care/insurance and Call Center experience highly preferred. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. Minimum Education High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree. Certifications CRCR Required within 9 months of hire (Company Paid) Employment Considerations Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact View email address on click.appcast.io. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. Employment Disclaimers – Ensemble #J-18808-Ljbffr